Sleep Loss and Circadian Rhythm Disruption in the Intensive Care Unit

Critical illness is associated with profound sleep disruption. Causality is diverse and includes physiologic, psychological, and environmental factors. There are limited pharmacologic interventions available to treat sleep disturbances in critical illness; however, multidisciplinary strategies that...

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Bibliographic Details
Published inClinics in chest medicine Vol. 36; no. 3; p. 419
Main Authors Knauert, Melissa P, Haspel, Jeffrey A, Pisani, Margaret A
Format Journal Article
LanguageEnglish
Published United States 01.09.2015
Subjects
Circadian Rhythm
Critical Illness
Delirium - complications
Humans
Intensive Care Units
Sleep - physiology
Sleep Deprivation - physiopathology
Delirium
Critical illness
Sleep loss
Circadian misalignment
Circadian rhythm
Intensive care unit
Sleep deprivation
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Summary:Critical illness is associated with profound sleep disruption. Causality is diverse and includes physiologic, psychological, and environmental factors. There are limited pharmacologic interventions available to treat sleep disturbances in critical illness; however, multidisciplinary strategies that alter the intensive care unit (ICU) environment and cluster care delivery have shown promise in sleep and circadian promotion and delirium reduction. With the appropriate administrative support and involvement of diverse ICU stakeholders, effective strategies could be created, implemented, and maintained to improve sleep disruption in critically ill patients.
ISSN:1557-8216
DOI:10.1016/j.ccm.2015.05.008